Jekyll Island's Summer Kids' Golf Camp!
Hosted by PGA Professional Steve Godley
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Card holder's name
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Camper's name
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Address
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City
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State
AK
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DE
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GA
HI
IA
ID
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Zip
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Home Phone
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Email Address
Age of Child (8-14 only)
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# of tickets
x $125
Tax
Total
Credit Card Information
Same as Mailing Address
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Name on Card
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Phone
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Address 1
Address 2
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City
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State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
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Zip
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Card Type
Visa
Mastercard
American Express
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Card Number
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Expiration
01
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Card Verification Number
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